Authors
Esther Touitou-Burckard, Laurent Boyer, Coralie Gandré
Published in
Sante publique (Vandoeuvre-les-Nancy, France). Volume 38. Issue HS1. Pages 129-137.
Abstract
This knowledge synthesis aims to identify the main barriers within health systems to the comprehensive care—including somatic health—of people with severe mental illness, as well as the organizational responses needed to address them. It offers insights to inform public mental health policies aimed at reducing the health inequalities faced by this population.This review is based on a narrative synthesis of both quantitative and qualitative literature, with particular attention paid to French research in order to draw conclusions relevant to this national context.
People with severe mental illness face barriers at every stage of their care pathways, from primary care to end-of-life services. These difficulties stem in part from a lack of coordination between care sectors and insufficient consideration of the social difficulties experienced by this population. Although integrated care models are being developed to address these issues, in particular within specialized mental health services, their impact remains insufficiently documented in real-life settings and over the long term. Further attention should also be given to service users’ preferences and to coordination between health and social care.
An ambitious public mental health policy in France must promote a comprehensive, inclusive, and intersectoral approach to the health of people living with severe mental illness. It should support the development and evaluation of new organizational models that address the needs and expectations of this specific population.
PMID:
42674984
Bibliographic data and abstract were imported from PubMed on 01 Sep 2026.
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